SEC FORM 4/A SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Simmons Chia-Lin

(Last) (First) (Middle)
2801 DIODE LANE

(Street)
LOUISVILLE KY 40299

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Nxt-ID, Inc. [ NXTD ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Executive Officer
3. Date of Earliest Transaction (Month/Day/Year)
01/03/2022
4. If Amendment, Date of Original Filed (Month/Day/Year)
01/04/2022
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock(1)(2) 01/03/2022 A 204,145(3) A $0 470,705(4) D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. This amendment is being filed to correct inadvertent typographical errors in the original Form 4. The original Form 4 mis-calculated the aggregate number of shares of common stock, par value $0.0001 per share, of the issuer ("Common Stock") beneficially owned post-reverse split as well as mis-identified the reporting person's award as a restricted stock unit with monthly vesting rather than a restricted stock award with quarterly vesting.
2. Issuable upon the vesting of a restricted stock award in Common Stock ("RSA"), each of which represents the right to receive one share of Common Stock, subject to the vesting terms of such RSA.
3. The RSA of 204,145 shares of Common Stock was received as compensation for the reporting person's service as an officer pursuant to the issuer's 2013 Long-Term Stock Incentive Plan. The RSA is subject to vesting over a period of 3 years commencing on January 3, 2022, with 34,045 shares of the RSA to vest on July 3, 2022, and thereafter, 17,010 shares of the RSA will vest on the first day of each subsequent quarter until the entire award has vested, so long as the reporting person remains in the service of the issuer for each such quarter.
4. On October 15, 2021, the issuer effected a 1-for-10 reverse stock split of its outstanding shares of Common Stock. The number of shares of Common Stock reported on this Form 4 have been adjusted to reflect such reverse stock split as it pertained to the number of shares of Common Stock that the reporting person held prior to the grant of the RSA.
/s/ Chia-Lin Simmons 02/18/2022
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.